The effect of surgical approach on opioid prescription rates for outpatient ventral hernia repair - Report - MDSpire
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Impact of Surgical Technique on Opioid Prescription Patterns Following Outpatient Ventral Hernia Repair

  • By

  • John K. Ewing

  • Sullivan A. Ayuso

  • Gediwon Milky

  • Hannah Bossie

  • Heather Atchison

  • I-Fan Shih

  • B. Todd Heniford

  • August 28, 2026

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Clinical Report: Impact of Surgical Technique on Opioid Prescription Patterns

Overview

This study evaluates the association between surgical approach and opioid prescription fills following outpatient ventral hernia repair.

Background

Prolonged opioid use after surgery poses significant risks, including dependence and overdose. With over 610,000 ventral hernia repairs performed annually in the U.S., understanding opioid prescribing patterns is crucial.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Prolonged opioid use develops in 1.7–6.5% of adults after surgery.
  • Greater initial opioid prescriptions are linked to higher risks of persistent use.
  • Robotic-assisted ventral hernia repair (RVHR) may lead to lower opioid fills compared to laparoscopic approaches.
  • Multimodal analgesia strategies can reduce opioid use after ventral hernia repairs.
  • Prescribed opioid amounts often exceed actual consumption.

Clinical Implications

Clinicians should consider surgical approach when prescribing opioids post-ventral hernia repair, as techniques like RVHR may reduce the need for opioids. Implementing multimodal analgesia can further minimize opioid exposure and its associated risks.

Conclusion

The study underscores the importance of evaluating surgical techniques in relation to opioid prescribing patterns to enhance postoperative care and reduce the risk of long-term opioid use.

Related Resources & Content

  1. Surgical Endoscopy, 2024 -- Long-term Opioid Use After Robotic-Assisted, Laparoscopic, and Open Inguinal Hernia Repair Surgery
  2. Hernia, 2024 -- Comparative Effects of Opioid and Non-Opioid Analgesics on Postoperative Pain, Quality of Life, and Outcomes Following Ventral Hernia Repair
  3. MDSpire News, 2023 -- Tracking Opioid Refills After Surgery
  4. Surgical Endoscopy, 2022 -- Preoperative TAP Block Enhances Surgical Results in Open Ventral Hernia Repair
  5. American Society of Anesthesiologists, 2026 -- Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
  6. Hernia, 2026 -- The effect of surgical approach on opioid prescription rates for outpatient ventral hernia repair
  7. Anaesthesia, 2026 -- Opioid‐free vs. opioid‐inclusive anaesthesia with or without regional anaesthesia for postoperative pain: a systematic review with network meta‐analysis of randomised controlled trials
  8. 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries.
  9. The effect of surgical approach on opioid prescription rates for outpatient ventral hernia repair | Hernia | Springer Nature Link
  10. Opioid‐free vs. opioid‐inclusive anaesthesia with or without regional anaesthesia for postoperative pain: a systematic review with network meta‐analysis of randomised controlled trials - Carvalho - 2026 - Anaesthesia - Wiley Online Library

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